| NPI | 1821375643 |
|---|---|
| Former Name | ANGELA-ROSE MANESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 60515) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 029204) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2024-06-06 |